212 results
50; 37y · Male; male·Mark John Furlan: hypoxic brain injury due to acute neck compression due to hang…
Two men died by hanging while detained under inpatient treatment orders at Ward 2G of Royal Adelaide Hospital. Mark Furlan (50) died in 2018 after developing psychotic depression with suicidal ideation. The coroner found…
48y · Male·unascertained
Daniel Harvey, a 48-year-old man with morbid obesity, cirrhosis, diabetes, and polysubstance use including methadone and methamphetamine, was found unresponsive in immigration detention on 10 August 2020. He had complain…
28y · Female·Cerebral x-linked adrenoleukodystrophy
Ivy McGowan, a 28-year-old NDIS participant with cerebral x-linked adrenoleukodystrophy, died at home on 5 October 2023 from natural causes. She had experienced progressive deterioration from late 2022, with increasing n…
22y · Male·Immersion in water (drowning) in a man with combined drug effect
Jaxon Charles Kinnane, 22, drowned in the Swan River on 12 October 2020. He had chronic schizophrenia with persistent delusional beliefs (microchip in ear) and was a polysubstance user, particularly methylamphetamine. He…
41y · Male·Septicaemia secondary to chronic peptic ulcer disease
Simon Cartwright, a 41-year-old man with schizophrenia and bipolar disorder, died in custody from septicemia secondary to chronic peptic ulcer disease. He had a documented ulcer history diagnosed in November 2020 and sho…
33y · Unknown·neck compression secondary to hanging
Jessica Anne Thomas, a 33-year-old gender-diverse person with complex psychiatric diagnoses including schizoaffective disorder, borderline personality disorder, and PTSD, died by hanging while remanded in custody at Dame…
55y · Male·Sudden and unexpected death in epilepsy
Silvio Rolfo, a 55-year-old man with lifelong intellectual disability, autism, and longstanding infrequent epilepsy, died from sudden unexpected death in epilepsy (SUDEP) at his supported living residence. He was found o…
36y · Male·ligature compression of the neck (hanging)
A 36-year-old man with schizoaffective disorder, traumatic brain injury, and substance use disorder died by ligature while an involuntary inpatient in a locked mental health ward. He was on hourly observations and had re…
50y · Female·Aspiration pneumonia, with epilepsy with frequent seizures as contributory cause
Hayley Michelle Impey, aged 50, died from aspiration pneumonia complicated by epilepsy with frequent seizures. She presented with status epilepticus requiring intubation and transfer to a tertiary hospital. She was extub…
47y · Male·Catastrophic traumatic brain injury sustained in a single motor vehicle crash
Todd Anthony Clark, aged 47, died from catastrophic traumatic brain injury following a single-vehicle motor crash on 17 December 2022. He was driving at approximately 150 km/h in a 60 km/h zone when he lost control on a …
David Edwards: disseminated lymphomatosis complicating large B-cell lymphoma. Ne…
David Edwards, aged 90, died of disseminated lymphomatosis (advanced lymphoma) on 2 March 2016. His death was natural and expected given his terminal illness. His wife Nelda Edwards, aged 88, died two days later on 4 Mar…
36y · Male·Undetermined; three possible mechanisms identified: oversedation with vomiting a…
Jacob Kennedy, a 36-year-old Aboriginal man with polysubstance use disorder and psychiatric illness, died on 4 February 2017 after 11 days as an involuntary inpatient at Frankston Hospital. He was administered multiple s…
85y · Female·Complications following a fall
An 85-year-old woman with dementia died from complications of a fall sustained when pushed by another resident with dementia at an aged care facility. The autopsy revealed skull fracture, extradural haemorrhage, and rib …
45y · Female·Neck compression secondary to hanging
Claire Louise Carroll, 45, died by hanging while experiencing severe untreated psychotic symptoms including auditory hallucinations, paranoid delusions, and persecutory ideation. She had complex mental health diagnoses (…
41y · Female·ligature compression of the neck (hanging)
Petya, a 41-year-old Bulgarian-born woman, died by ligature compression of the neck while an involuntary psychiatric patient at Bentley Health Service Ward 6 on 16 December 2020. She had been admitted following acute psy…
30y · Male·Drowning due to jumping from the Batman Bridge
A 30-year-old man with opioid use disorder, anxiety, and depression died by suicide from jumping the Batman Bridge. He had been prescribed escalating doses of clonazepam (1-8mg daily) over three years by general practiti…
28y · Female·Effects of fire
Ya Zhao, 28, died from effects of fire in her residential unit on 22 July 2022. She had schizophrenia with a history of mental health crises, depression, self-harm and suicidal ideation. She was living independently with…
7y · Female·Pneumonia complicating a viral respiratory illness with acute combined drug effe…
Child ML, aged 7, died of pneumonia complicating viral respiratory illness with acute combined drug effect. She had severe cerebral palsy with complex care needs including PEJ tube feeding and multiple medications. At th…
74y · Male·Pulmonary thromboembolism secondary to deep vein thrombosis in the setting of re…
A 74-year-old man died from pulmonary thromboembolism secondary to deep vein thrombosis following a cervical spinal fracture. He presented to rural ED with mental health concerns, was restrained by security guards after …
41y · Male·undetermined
Vaughan Weston Williamson, 41, died at Glenside Hospital while subject to a Level 3 Inpatient Treatment Order for treatment-resistant schizophrenia. Despite post-mortem examination including specialist neuropathological …
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